Provider Demographics
NPI:1558919480
Name:DUNNE, KATHLEEN (CADC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:DUNNE
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ROLLING GREEN DR APT G
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-7878
Mailing Address - Country:US
Mailing Address - Phone:508-245-9841
Mailing Address - Fax:
Practice Address - Street 1:5 DOVER ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6258
Practice Address - Country:US
Practice Address - Phone:508-984-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1446101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)